Provider Demographics
NPI:1477731412
Name:BODENSTEIN, JOSIE ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:JOSIE
Middle Name:ANN
Last Name:BODENSTEIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JOSIE
Other - Middle Name:ANN
Other - Last Name:SEIDMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, MA
Mailing Address - Street 1:204 E JOPPA RD PH 16
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-3118
Mailing Address - Country:US
Mailing Address - Phone:410-337-9441
Mailing Address - Fax:410-339-7169
Practice Address - Street 1:204 E JOPPA RD PH 16
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-3118
Practice Address - Country:US
Practice Address - Phone:410-337-9441
Practice Address - Fax:410-339-7169
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0052921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical